Positioning and Gastric Aspiration in Ventilated Premature Infants

Exclusion Criteria

• •neurological insult in the form of perinatal asphyxia (pH \<7, base deficit more than 12, Apgar score at \< 3 at 5 minutes of life), intracranial hemorrhage grades 3 or 4 at 72 hours of age or periventricular leucomalacia
• •major congenital anomalies, or gastrointestinal anomalies such as tracheoesophageal fistula, or necrotizing enterocolitis ,
• •receiving xanthine derivatives, H2 blockers, prokinetics, proton pump inhibitors or sedation